# AMBROSE INJURY AND WELLNESS, A NURSING CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538759543
- **Authorized official:** DR. JOSEPH ROY AMBROSE DC, MSN-FNP (PRES)
- **Authorized official phone:** (916) 933-6700

## Contact information

- **Practice address:** 350 GREEN VALLEY RD, EL DORADO HILLS, CA 95762-3927
- **Practice address phone:** (916) 933-6700
- **Practice address fax:** (916) 933-2253
- **Mailing address:** 350 GREEN VALLEY RD, EL DORADO HILLS, CA 95762-3927
- **Mailing address phone:** (916) 933-6700
- **Mailing address fax:** (916) 933-2253

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2100X | Acute Care Nurse Practitioner | — | NULL | — |
| 363LA2100X | Acute Care Nurse Practitioner | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |
| 363LX0106X | Occupational Health Nurse Practitioner | — | NULL | — |
| 363LX0106X | Occupational Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 01/23/2021
- **Last updated:** 01/23/2021